超声心动图对慢性收缩性心力衰竭预后的预测价值分析

目的:探讨超声心动图对慢性收缩性心力衰竭(心衰)预后的预测价值。方法:选择2016年8月到2018年9月在南京医科大学附属脑科医院(胸科院区)医学影像二科(以我院代替)诊治的慢性收缩性心衰患者112例,均给予超声心动图检查并记录相关指标,随访患者的预后并进行相关性分析。结果:随访至今,112例患者的主要心血管不良事件(Major Adverse Cardiovascular Events,MACE)发生率为18.8%。MACE组患者的左室收缩末期容积(Left ventricular end systolic volume,LVESV)、左室舒张末期容积(Left ventricular end diastolic volume,LVEDV)值显著高于非MACE组患者(P0.05),两组患者左室收缩末期内径(Left ventricular end systolic diameter,LVDs)、左房内径(Left atrial diameter,LAD)、左心室舒张末期内径(Left ventricular end diastolic dimension,LVDd值无统计学差异(P0.05)。患者预后MACE与LVEDV、LVESV值呈显著相关性(P0.05)。LVEDV、LVESV为影响慢性收缩性心衰患者MACE的独立危险因素(P0.05)。结论:超声心动图用于慢性收缩性心衰患者可反映患者的心功能状况,且具有较高的预后预测价值。

Prognostic Prediction Value of Echocardiography for the Prognosis of Chronic Systolic Heart Failure

ABSTRACT Objective: To investigate the prognostic prediction value of echocardiography for the chronic systolic heart failure (heart failure). Methods: From August 2016 to September 2018, 112 patients with chronic systolic heart failure who were treated in our hospital were enrolled. All patients were given echocardiography and recorded the relevant indicators. The prognosis of patients were followed up and correlation analysis were performed. Results: The incidence of major adverse cardiovascular events(MACE) in 112 patients were 18.8%. The LVEDV and LVESV valuesin the MACE group were significantly higher than those in the non-MACE group (P<0.05). There were no significant difference in the LVDs, LVDd, and LAD compared between the two groups (P>0.05). The incidence of MACE was significantly related to the LVEDV, LVESV values(P<0.05). Multivariate unconditional logistic regression analysis showed that LVEDV and LVESV were independent risk factors for prognosis of MACE (P<0.05). Conclusion: Echocardiography can reflect the heart function of patients with chronic systolic heart failure, and has great value for the prognostic prediction.